26D0930429 CLIA NUMBER - BRISTOL MANOR OF ELSBERRY

Laboratory Demographics

  • CLIA Code: 26D0930429
  • Facility Name: BRISTOL MANOR OF ELSBERRY
  • Facility Address: 1402 RIVERVIEW DRIVE
    ELSBERRY, MO
    ZIP 63343
  • Facility Phone: 573 898-5955
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TRAVIS JACKSON
  • NPI Number: 1376759951
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0930429
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF ELSBERRY
Street 1402 RIVERVIEW DRIVE
City ELSBERRY
State MO
ZIP 63343
Phone 573 898-5955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Assisted Living Facility
Lab Director TRAVIS JACKSON

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This page was last updated on: 9/29/2025